Provider Details - Mirabella Portland | Licensed Long-Term Care Settings Search

Mirabella Portland

3550 S BOND AVE
Portland, OR 97239

Administrator name: ZAC BRIGHT

ID: 38L400
Status: Open
Type: Nursing Facility
Licensed beds: 27
Accepts Medicaid: No
Memory Care: No

Owner: Pacific Retirement Services, Inc.

ONE WEST MAIN ST, STE 303
Medford, OR 97501

(541) 857-7486

Owner since: 12/1/2010

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

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Licensing inspections evaluate a provider’s compliance with rules and laws. Licensing surveyors look at a variety of factors, including quality of care and services provided, as well as the condition of the provider’s physical structure, equipment, staffing levels, policies, procedures and finances. Under federal requirements, nursing facilities receive recertification inspections and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s compliance with regulatory requirements at the time the inspection took place.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Mirabella Portland
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
3/27/2026	1F5317	Re-Licensure, Recertification	4
11/25/2024	38JW	Re-Licensure, Recertification	2
8/24/2023	ASZA	Complaint, Licensure Complaint, Re-Licensure, Recertification	5
8/2/2022	9D7S	Focused Infection Control, Other-Fed	1
8/2/2022	5LH9	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	11
9/10/2021	JWIW	State Licensure	0

6 records found

The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes. If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Mirabella Portland
Date Date From To	Report number Report number	Allegation Allegation Failed to follow care plan Failed to protect resident from financial exploitation Failed to protect resident from physical abuse Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect
3/13/2023	OR0004105100	Failed to protect resident from physical abuse	2	Abuse: Neglect
10/2/2020	OR0002669300	Failed to protect resident from physical abuse	2	Abuse: Neglect
1/2/2020	OR0002278000	Failed to follow care plan	3	Abuse: Neglect
12/3/2018	OR0001656400	Failed to provide service	3	Abuse: Neglect
7/31/2013	BC135118	Failed to protect resident from financial exploitation	2	Abuse: Financial abuse

5 records found

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Mirabella Portland
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to assist with dressing or grooming Failed to assure proper hydration Failed to follow care plan Failed to properly plan care Failed to provide a safe medication administration system Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service Failed to submit timely or adequate staffing documentation	Level Level Between And	Type Type Licensing Violation
1/9/2022	OR0003575805	Failed to properly plan care	2	Licensing Violation
10/1/2021	OR0003575800	Failed to assist with dressing or grooming	2	Licensing Violation
10/31/2020	OR0002716100	Failed to follow care plan	2	Licensing Violation
7/17/2020	OR0002560100	Failed to follow care plan	2	Licensing Violation
2/1/2020	OR0002326700	Failed to provide safe environment	2	Licensing Violation
1/28/2020	OR0002321300	Failed to provide safe environment	2	Licensing Violation
1/14/2019	OR0001711000	Failed to provide safe environment	2	Licensing Violation
6/13/2018	OR0001524000	Failed to provide service	2	Licensing Violation
1/10/2018	OR0001406700	Failed to provide oversight and monitoring of change of condition	2	Licensing Violation
12/22/2017	BC186117	Failed to administer medication as ordered	2	Licensing Violation

17 records found | Page 1 of 2

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Provider Details - Mirabella Portland
	Sanction Sanction	Allegation Allegation	Type Type	Effective date Effective date From To	End date End date From To	Actions
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Provider Details - Mirabella Portland

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